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回顾分析1990~1996年住院分娩的重度妊高征患者184例,探讨红细胞压积(HCT)、血小板(PLT)和视网膜病变与围产儿预后的关系。结果:当HCT≥35%,PLT<150×109/L,视网膜病变时围产儿预后不良者分别为16.85%,18.48%,19.56%,较三项指标正常者均有显著性差异(P<0.01)。HCT异常和PLT减少时低体重儿发生率均明显升高(P<0.01);PLT减少和视网膜病变时低Apgar评分发生率也均显著增加(P<0.01);视网膜病变时围产儿死亡率在组间有显著性差异(P<0.05)。结论:三项指标都与围产儿预后不良有关,可为指导临床治疗提供一定的客观依据。
Retrospective analysis of 184 cases of severe pregnancy induced hypertension in hospitalized from 1990 to 1996 to investigate the relationship between hematocrit (HCT), platelet (PLT) and retinopathy and the prognosis of perinatal. Results: When HCT≥35% and PLT <150 × 109 / L, the prognosis of perinatal children with poor prognosis of retinopathy were 16.85%, 18.48% and 19.56%, respectively, which were significantly higher than those of normal subjects Sex differences (P <0.01). HCT abnormalities and the incidence of low birth weight infants with PLT decreased significantly (P <0.01); PLT decreased and the incidence of low Apgar scores in retinopathy also increased significantly (P <0.01); retinopathy Mortality in infants was significantly different between groups (P <0.05). Conclusion: All three indicators are related to the poor prognosis of perinatal children, which may provide some objective evidence for guiding the clinical treatment.